Features of the structure of the aponeurosis of the white line of the abdomen in patients with morbid obesity
https://doi.org/10.24884/0042-4625-2025-184-3-41-46
Abstract
Introduction. Morbid obesity is a leading factor in the development of ventral hernias, including hernias of the white line, umbilical and postoperative. This is due to the structural features of the aponeurosis of the white line of the abdomen in patients with morbid obesity, and the predominance of type III collagen over type I collagen.
The objective was to develop measures to combat postoperative ventral hernias in patients with morbid obesity
Methods and materials. Study and comparison of the structure of the aponeurosis of patients with normal body mass index and morbid obesity.
Conclusion. The predominance of type III collagen over type I collagen has been experimentally proven, and therefore – deterioration in the quality of the aponeurosis and an increase in the risk of postoperative ventral hernias in patients of this group. The need for additional strengthening of the suture line has been proven.
About the Authors
O. V. Galimov
Bashkir State Medical University
Russian Federation
Competing Interests:
Russian Federation
Galimov Oleg V., Dr. of Sci. (Med), Professor, Head of the Department of Surgical Diseases, Faculty of Medicine
3, Lenin str., Ufa, 450008
Competing Interests:
The authors declare no conflict of interest.
V. O. Khanov
Bashkir State Medical University
Russian Federation
Competing Interests:
Russian Federation
Khanov Vladislav O., Dr. of Sci. (Med), Professor, Department of Surgical Diseases, Faculty of Medicine
3, Lenin str., Ufa, 450008
Competing Interests:
The authors declare no conflict of interest.
G. I. Vagizova
Bashkir State Medical University
Russian Federation
Competing Interests:
Russian Federation
Vagizova Gulnaz I., Assistant of the Department of Surgical Diseases, Faculty of Medicine
3, Lenin str., Ufa, 450008
Competing Interests:
The authors declare no conflict of interest.
I. I. Teregulov
Bashkir State Medical University
Russian Federation
Competing Interests:
Russian Federation
Teregulov Ildar I., Junior Research Fellow at the Morphological Laboratory of the Institute of Fundamental Medicine
3, Lenin str., Ufa, 450008
Competing Interests:
The authors declare no conflict of interest.
T. I. Valinurov
Bashkir State Medical University
Russian Federation
Competing Interests:
Russian Federation
Valinurov Timur I., Junior Research Fellow at the Morphological Laboratory of the Institute of Fundamental Medicine
3, Lenin str., Ufa, 450008
Competing Interests:
The authors declare no conflict of interest.
T. R. Ibragimov
Bashkir State Medical University
Russian Federation
Competing Interests:
Russian Federation
Ibragimov Telman R., Cand. of Sci. (Med), Associate Professor of the Department of Surgical Diseases, Faculty of Medicine
3, Lenin str., Ufa, 450008
Competing Interests:
The authors declare no conflict of interest.
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For citations:
Galimov O.V., Khanov V.O., Vagizova G.I., Teregulov I.I., Valinurov T.I., Ibragimov T.R. Features of the structure of the aponeurosis of the white line of the abdomen in patients with morbid obesity. Grekov's Bulletin of Surgery. 2025;184(3):41-46. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-3-41-46
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